Womb: The Inside Story of Where We All Began by Leah Hazard
Back in 2019, I reviewed Hard Pushed, Leah Hazard’s memoir of being a midwife in a busy Glasgow hospital. Here she widens the view to create a wide-ranging and accessible study of the uterus. As magisterial in its field as Siddhartha Mukherjee’s The Emperor of All Maladies was for cancer, it might have shared that book’s ‘A Biography’ subtitle and casts a feminist eye over history and future alike. Blending medical knowledge and cultural commentary, it cannot fail to have both personal and political significance for readers of any gender.
The thematic structure of the chapters also functions as a roughly chronological tour of how life with a uterus might proceed: menstruation, conception, pregnancy, labour, caesarean section, ongoing health issues, menopause. With much of Hazard’s research taking place at the height of the pandemic, she had to conduct many of her interviews online. She consults mostly female experts and patients, meeting people with surprisingly different opinions. For instance, she encounters opposing views on menstruation from American professors: one who believes it is now optional, a handicap – for teenagers, especially – and that the body was never meant to endure 350–400 periods compared to the historical average of 100 (based on shorter lifespan plus more frequent pregnancy and breastfeeding); versus another who is concerned about the cognitive effects of constant hormonal intervention.
The book forcefully conveys how gynaecological wellness is threatened by a lack of knowledge, sexist stereotypes, and devaluation of certain wombs. Even today, little is known about the placenta, she reports, so research involves creating organoids from stem cells that act like it would. The use of emotionally damaging language like “irritable/hostile uterus,” “incompetent cervix” and “too posh to push” is a major problem. The sobering chapter on “Reprocide” elaborates on enduring threats to reproductive freedom, such as non-consensual sterilization of women in detention centres and the revoking of abortion rights. And even routine problems like endometriosis and fibroids disproportionately affect women of colour.
Hazard has taken pains to adopt an inclusive perspective, referring to “menstruators” or “people with a uterus” as often as to women and mentioning health concerns specific to transgender people. She is also careful to depict the sheer variety of experience: age at first menses, subjective reactions to labour or hysterectomy, severity of menopause symptoms, and so on. Where events have potentially traumatic effects, she presents alternatives, such as a “gentle” or “natural” Caesarean, which is less clinical and more empowering. The prose is pitched at a good level for laypeople: conversational, and never bombarding with information. That I have not had children myself was no obstruction to my enjoyment of the book. It is full of fascinating content that is relevant to all (as in the Harry and Chris solidarity-themed song “Womb with a View,” which has the repeated line “we’ve all been in a womb”).
Here are just some of the mind-blowing facts I learned:
- Infant girls bleed in what as known as pseudomenses.
- Research is underway to regularly test menstrual effluent for endometriosis, etc. and the uterine microbiome for signs of cancer.
- The cervix can store sperm and release it later for optimal fertilization.
- Caesarean section and induction with oxytocin now occur in one-third of pregnancies, despite the WHO recommendation of no more than 10% for the former and the danger of postpartum haemorrhage with the latter.
- After childbirth, a discharge called lochia continues for 4–6 weeks.
- There have been successful uterine transplants from living donors and cadavers.
- Artificial wombs (“biobags”) have been used for other mammals and are in development; Hazard cautions about possible misogynistic exploitation.
With thanks to Virago Press for the free copy for review.
Review Book Catch-Up: Gange, Mann, O’Donoghue
The end of the year is fast approaching, and one of my main reading goals is to follow through on all the rest of the review books I’ve received from publishers. I have another handful on the go, including a few holiday- and snow-themed ones I’ll review together.
Today, I have a history-rich travelogue that explores the Atlantic coast of Britain and Ireland, a memoir by an Anglican priest who has transitioned and experienced chronic illness, and a humorous, offbeat novel about finding the real Ireland.
The Frayed Atlantic Edge: A Historian’s Journey from Shetland to the Channel by David Gange (2019)
This was one of the 2020 Wainwright Prize finalists. Having now experienced the entire nature writing shortlist, I stick with my early September pronouncement that it should have won. I was consistently impressed with the intricacy of the interdisciplinary approach. While kayaking down the western coast of the British Isles and Ireland, Gange delved into the folklore, geology, history, local language and wildlife of each region and island group. From the extreme north of Scotland at Muckle Flugga to the southwest tip of Cornwall, he devoted a month to each Atlantic-facing area, often squeezing in expeditions between commitments as a history lecturer at Birmingham.
Gange’s thesis is that the sea has done more to shape Britain and Ireland than we generally recognize, and that to be truly representative history books must ascribe the same importance to coastal communities that they do to major inland cities. Everywhere he goes he meets locals, trawls regional archives and museums, and surveys the art and literature (especially poetry) that a place has produced. Though dense with information, the book is a rollicking travelogue that – in words no less than in the two sections of stunning colour photographs – captures the elation and fear of an intrepid solo journey. He hunkers on snowy cliffs in his sleeping bag and comes face to face with otters, seals and seabirds in his kayak; at the mercy of the weather, he has deep respect for the Atlantic waves’ power.
I enjoyed revisiting places I’ve seen in person (Shetland, the Orkney Islands, Skomer) and getting a taste of others I’ve not been to but would like to go (like the Western Isles and the west coast of Ireland). Gange’s allusive writing reminds me of Tim Dee’s and Adam Nicolson’s, and Madeleine Bunting’s Love of Country is a similar read I also loved.
With thanks to William Collins for the free copy for review.
Dazzling Darkness: Gender, sexuality, illness and God by Rachel Mann (2012; 2020)
I’ve so enjoyed discovering Rev. Rachel Mann’s work: poetry collection A Kingdom of Love, Advent devotional In the Bleak Midwinter, and novel The Gospel of Eve. This is a revised edition of her memoir, which is less an autobiographical blow-by-blow of becoming a trans priest in the Church of England than it is a vibrant theological meditation based around keywords like loneliness, reconciliation and vocation. She reflects on the apparent contradictions of her life: she was a typical boy who loved nothing more than toy guns, and then a young man obsessed with drugs and guitars; as ‘Nick’, she was married to a woman at the time of coming out, but continued to have relationships with women after transitioning and undergoing reassignment surgery, so considers herself a lesbian.
Ambiguities like this make us uncomfortable, Mann notes, but change and loss, and making the best of impossible situations, are all a part of the human condition. I appreciated how she characterizes herself as a perennial beginner: having to face the world anew after the second adolescence of becoming a woman as well as after the end of a long-term relationship and the last in a series of hospitalizations for severe Crohn’s disease.
While I’ve read other trans memoirs (Amateur by Thomas Page McBee and Conundrum by Jan Morris), this is my first from a Christian perspective, apart from the essays in The Book of Queer Prophets. Mann describes her early faith as intense but shallow, like falling in love; later it became deeper but darker as she followed Jesus’s path of suffering. Ministry has been a gift but is not without challenges: At synod meetings she is unsure whether to speak out or remain silent, but at least she bears witness to the presence of trans people in the Church.
With thanks to Wild Goose Publications for the free copy for review.
Scenes of a Graphic Nature by Caroline O’Donoghue (2020)
Charlotte “Charlie” Regan is a 29-year-old filmmaker based in London. Her father has had cancer on and off for four years, but he got his ‘survivor’ label in a different way: when he was a child on an island off the western coast of Ireland, his teacher and 18 classmates died of carbon monoxide poisoning from the faulty secondhand oil burner in the schoolhouse; he was the only one left alive. Although her film commemorates this story, Charlie has never actually been to Ireland, so an invitation to Cork Film Festival is the perfect opportunity to see the place before her father dies. Travelling with her is her former best friend and roommate, Laura Shingle. There’s sexual tension between these two: Charlie is a lesbian, but Laura is determined to think of herself as straight even though she and Charlie would occasionally share a bed. To prove herself, Laura goes too far the other way, making homophobic comments about strangers.
If initially Charlie thinks this trip to Ireland will be about shamrock-green nostalgia, she soon snaps out of her idealism as she has to face some tough truths about the film and her family’s history. Charlie is a companionable narrator, but, while I enjoyed the pub scenes and found some of the one-liners very funny (“Everything in our room is a faint brown, as though it were daubed very gently by a child with a teabag” and “He had an X-ray and there’s legumes all over it.” / “Legumes? Do you mean lesions?”), I was underwhelmed overall. My interest peaked at the halfway point and waned thereafter. This is one I might recommend to fans of Caoilinn Hughes.
With thanks to Virago for the free copy for review.
Would you be interested in reading one or more of these?
October Releases by Rachel Mann, Sigrid Nunez and Ruth Janette Ruck
A calmer month for new releases after September’s bumper crop. I read a sophisticated mystery set at a theological college, a subtle novel about empathy and being a good friend, and a memoir of raising one of Britain’s first llamas.
The Gospel of Eve by Rachel Mann
Last year I dipped into Mann’s poetry (A Kingdom of Love) and literary criticism/devotional writing (In the Bleak Midwinter); this year I was delighted to be offered an early copy of her debut novel. The press materials are full of comparisons to Donna Tartt’s The Secret History; it’s certainly an apt point of reference for this mystery focusing on clever, Medieval-obsessed students training for the priesthood at a theological college outside Oxford.
It’s 1997 and Catherine Bolton is part of the first female intake at Littlemore College. She has striven to rid herself of a working-class accent and recently completed her PhD on Chaucer, but feels daunted by her new friends’ intelligence and old-money backgrounds: Ivo went to Eton, Charlie is an heiress, and so on. But Kitty’s most fascinated with Evie, who is bright, privileged and quick with a comeback – everything Kitty wishes she could be.
If you think of ordinands as pious and prudish, you’ll be scandalized by these six. They drink, smoke, curse and make crude jokes. In seminars with Professor Albertus Loewe, they make provocative mention of feminist theory and are tempted by his collection of rare books. Soon sex, death and literature get all mixed up as Kitty realizes that her friends’ devotion to the Medieval period goes as far as replicating dangerous rituals. We know from the first line that one of them ends up dead. But what might it have to do with the apocryphal text of the title?
I didn’t always feel the psychological groundwork was there to understand characters’ motivations, but I still found this to be a beguiling story, well plotted and drenched in elitism and lust. Mann explores a theology that is more about practice, about the body, than belief. Kitty’s retrospective blends regret and nostalgia: “We were the special ones, the shining ones,” and despite how wrong everything went, part of her wouldn’t change it for the world.
My thanks to publicist Hannah Hargrave for the proof copy for review. Published today by Darton, Longman & Todd Ltd.
What Are You Going Through by Sigrid Nunez
A perfect follow-up to The Friend and very similar in some ways: again we have the disparate first-person musings of an unnamed narrator compelled to help a friend. In Nunez’s previous novel, the protagonist has to care for the dog of a man who recently killed himself; here she is called upon to help a terminally ill friend commit suicide. The novel opens in September 2017 in the unfamiliar town she’s come to for her friend’s cancer treatments. While there she goes to a talk by an older male author who believes human civilization is finished and people shouldn’t have children anymore. This prophet of doom is her ex.
His pessimism is echoed by the dying friend when she relapses. The narrator agrees to accompany her to a rental house where she will take a drug to die at a time of her choosing. “Lucy and Ethel Do Euthanasia,” the ex jokes. And there is a sort of slapstick joy early in this morbid adventure, with mishaps like forgetting the pills and flooding the bathroom.
As in Rachel Cusk’s Outline trilogy, the voice is not solely or even primarily the narrator’s but Other: her friend speaking about her happy childhood and her estrangement from her daughter; a woman met at the gym; a paranoid neighbor; a recent short story; a documentary film. I felt there was too much recounting of a thriller plot, but in general this approach, paired with the absence of speech marks, reflects how the art we consume and the people we encounter become part of our own story. Curiosity about other lives fuels empathy.
With the wry energy of Jenny Offill’s Weather, this is a quiet novel that sneaks up to seize you by the heartstrings. “Women’s stories are often sad stories,” Nunez writes, but “no matter how sad, a beautifully told story lifts you up.” Like The Friend, which also ends just before The End, this presents love and literature as ways to bear “witness to the human condition.”
With thanks to Virago for the proof copy for review.
Along Came a Llama: Tales from a Welsh Hill Farm by Ruth Janette Ruck
Originally published in 1978 (now reissued with a foreword by John Lewis-Stempel), this is an enjoyably animal-stuffed memoir reminiscent of Gerald Durrell and especially Doreen Tovey. Ruck (d. 2006) and her family – which at times included her ill sister, her elderly mother and/or her sister-in-law – lived on a remote farm in the hills of North Wales. On a visit to Knaresborough Zoo, Ruck was taken with the llamas and fancied buying one to add to their menagerie of farm animals. It was as simple as asking the zoo director and then taking the young female back to Wales in a pony box. At that time, hardly anyone in the UK knew anything about llamas or the other camelids. No insurance company would cover their llama in transit; no one had specialist knowledge on feeding or breeding. Ruck had to do things the old-fashioned way, finding books and specialist scientific papers.
But they mostly learned about Ñusta (the Quechua word for princess) by spending time with her. At holidays they discovered her love of chocolate Easter eggs and cherry brandy. The cud-chewing creature sometimes gave clues to what else she’d been eating, as when she regurgitated plum stones. She didn’t particularly like being touched or trailed by an orphaned lamb, but followed Ruck around dutifully and would sit sociably in the living room. Life with animals often involves mild disasters: Ñusta jumps in a pool and locks Ruck’s husband in the loo, and the truck breaks down on the way to mate her with the male at Chester Zoo.
From spitting to shearing, there was a lot to get used to, but this account of the first three years of llama ownership emphasizes the delights of animal companionship. There were hardships in Ruck’s life, including multiple sclerosis and her sister’s death, but into the “austere but soul-rewarding life of a hill firm … like a catalyst or a touch of magic, the llama came along.” I was into llamas and alpacas well before the rest of the world – in high school I often visited a local llama farm, and I led a llama in a parade and an alpaca in a nativity play – so that was my primary reason for requesting this, but it’s just right for any animal lover.
With thanks to Faber & Faber for the free copy for review.